| NPI | 1598369035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON STENSON CFO 443-295-8955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YP1600X Counselor Pastoral |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor Mental Health | |
| 101YP2500X Counselor Professional | |
| 103T00000X Psychologist | |
| 103TF0000X Psychologist Family | |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2023-12-04 |